Medical Care Education, Emotional Support, and Developmental Assistance Device

ABSTRACT

A multi-page illustrated and written book printed on synthetic paper with an electronics module that can record sounds through one or more microphones to solid-state, digital memory and playback pre-recorded or user recorded audio data from the digital memory device through one or more speakers is disclosed. The book may include one or more of the following either on the front or back cover or on any of the plurality of pages inside the book: mirror, signature page, pocket page, or high-contract geometric patterns.

RELATED APPLICATIONS

This application is a divisional application of, and hereby claims priority under 35 U.S.C. §120 to, application Ser. No. 15/530,677, titled “Medical Care Education, Emotional Support, and Development Assistance Device,” by inventors Christina Osborn Rudie and Paul W. Scott IV, filed on Feb. 3, 2015, which claims priority of U.S. provisional application Ser. No. 61/634,180 filed on Feb. 3, 2014 which are hereby incorporated by reference in their entirety.

BACKGROUND 1. Technical Field

The disclosed device is in the fields of medical care education, emotional support for hospitalized children and their loved ones, and infant cognitive development and more specifically to a new and useful educational, support, and assistance device for use in the aforementioned fields.

2. Summary of the Art

Each year, nearly 500,000 babies are premature (i.e. babies that have completed less than 37 weeks of gestation). That's 1 of every 8 infants born in the United States. Important growth and development occur throughout pregnancy—especially in the final months and weeks. About 10 percent of all newborns in the United States need special medical care in a neonatal intensive care unit, or NICU due to birth defects, prematurity, or problems associated with delivery.

Advances in neonatal care, such as surfactant therapy and antenatal corticosteroids, are now widely available and have increased the survival of infants admitted to the NICU. However, studies of these vulnerable infants have demonstrated moderate-to-severe deficits in academic achievement, intellectual disabilities, and behavior problems, which correlate strongly with extended stays in NICUs. One potential cause is that these infants receive minimal human interaction during a time when typical healthy infants are being provided with nearly constant contact with their parent(s). Thus, there is a great need for a device that provides infants in NICUs with emotional and intellectual stimulation.

With respect to child development, it is understood that the nervous system of each human being must go through a definite series of developmental stages before a brain can operate at its full potential. Substantial negative consequences may result from a child delaying or missing a phase in this developmental sequence because of lack of opportunity. Being confined to an isolette, NICU patients often don't get the opportunity for frequent close-contact with caregivers that can provide opportunities to focus on high-contrast images like the iris next to the sclera. Putting high-contrast images in a baby's environment provides a focal point for a baby's attention, which allows him to lengthen his attention span, which in turn improves cognitive abilities. A device that provides opportunities to focus on high-contrast images in an environment that provides emotional support through familiar sounds would be a significant tool to help patients confined to isolettes.

While there are many recordable books, there are no books that provide for the unique needs of parents with children in long-term or intensive care. A book that can play a recording of a mother's voice or other loved one while in isolation can be a significant emotional support. Other calming sounds like the ocean or a heartbeat may also reduce the stress felt by the patient. Furthermore, if this book could be sterilized and placed in a more critically regulated environment like an isolette, it could also provide significant developmental assistance in one device which is not currently available.

Providing an auditory and visual medium wherein parents or guardians of hospitalized newborns and children can have their concerns eased through being familiarized with the procedures, equipment, and facilities being utilized to medically care for their infant or children would be of great benefit; however, there are no currently available devices which have addressed this problem.

SUMMARY OF THE INVENTION

A multi-page illustrated and written book printed on synthetic paper with an electronics module that can record sounds through one or more microphones to solid-state, digital memory and playback pre-recorded or user recorded audio data from the digital memory device through one or more speakers is disclosed. The book can include one or more of the following either on the front or back cover or on any of the plurality of pages inside the book: mirror, signature page, pocket page, or high-contract geometric patterns.

The book can be sterilizable using sterilizing hand wipes.

The electronics module can be powered with battery power or through wired power. Battery power for the device can be achieved through one or more replaceable batteries or through one or more fixed, rechargeable batteries.

The recording and playback functions provided by the electronics module can be activated and stopped manually or automatically through combinations of button presses, switches, and/or page turns. The buttons and/or switches can be mounted on any of the pages or covers of the book.

The output volume of the speakers can be adjusted manually or automatically by the electronics module. The automatic volume adjustment can use one or more of the speakers and/or microphones to sample background noise directly or to calculate the degradation of a known sound sample played through one or more of the speakers and re-recorded with one or more of the microphones.

The electronics module can play any combination of user recorded sounds (especially a mother's voice), pre-recorded instructions, or pre-recorded music or other sounds like the ocean, a heartbeat, or machine noises.

The electronics module can provide feedback to the user with lights, sounds, or other display means.

The electronics module can be connected to an external source to enable downloading and/or uploading of audio files onto the solid-state, digital memory.

The device can support non-human animals for ambulation and perform as explained elsewhere herein for humans.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of the inside of the device in an opened state;

FIG. 2 is a perspective view of the device in a closed state;

FIG. 3 is a perspective view of the outside of the device in a partially opened state;

FIG. 4 is a perspective view of the inside of the device in an opened state, focused on the inside of the rear cover (electronics housing);

FIG. 5 is a perspective view of the inside of the device in an opened state, focused on the inside edge of the electronics housing;

FIG. 6 is a perspective view of the inside of the device in an opened state, detailing the inside of the front cover and pages;

FIG. 7 is a perspective view of the inside of the device electronics housing and a flexible in-page circuit and switch;

FIG. 8 illustrates examples of geometric patterns.

LIST OF REFERENCE CHARACTERS

-   100: Device Assembly -   105: Front Cover -   110: Electronics Housing -   115: Electronics Housing Cover Plate -   120: Book Page -   125: Book Spine -   130: Speaker Sound Ports -   135: Microphone Sound Ports -   140: Recording Indicator Light -   145: Device Status Indicator -   150: Battery Charge Indicator -   155: Data and Charging Port -   160: Mirror -   165: Geometric Patterns -   170: Battery -   175: Printed Circuit Board -   180: Microphone -   185: Speaker -   190: Electronics Enclosure Slot -   200: Page Selection Switch—Left -   205: Page Selection Switch—Right -   210: Parent 1 Switch -   215: Parent 2 Switch -   220: Human Heartbeat Switch -   225: Ocean Sounds Switch -   230: Custom Sounds Switch -   235: Play All Switch -   240: Automatic Playback Switch -   245: Recording Lockout Toggle Switch -   250: Membrane Switch Contact—Left -   255: Membrane Switch Contact—Right -   260: Flexible Circuit

DETAILED DESCRIPTION

FIG. 1 shows the device in an opened state. The foundational element of the device is a book, publication, or other similar source of visual information. The information contained therein can relate to medical procedures, equipment, specialized staff, and hospital environment. It can also contain information relating to diseases, physical abnormalities, health, and other short-term or chronic medical conditions. The information can be presented as a story wherein the main character in the story has a medical situation or condition.

FIG. 2 shows the device 100 in a closed state and FIG. 3 shows the device in a partially opened state. The front cover 105 is used to provide protection for the pages 120 of the book and depending on the composition, to provide structural rigidity. The spine 125 allows adequate flexibility for the device to be easily opened, yet is resilient enough to maintain retention between the front cover 105, electronics housing 110, and pages 120. The cover and spine can be manufactured with methods as are utilized for common books and publications. The pages 120 can be assembled from many separate pages, multiple folded pairs, or one long length of material that is folded like an accordion and then bonded together. The pages can be die-cut before or after folding. The materials used for the cover 105, spine 125, and pages 120 can be resistant to water and chemicals used for recurring sterilization in medical applications, such as synthetic paper. Alternatively, coatings and films can be applied to chemical/water non-resistant materials to achieve adequate performance in a hospital/medical environment. Adhesives, binding, and mechanical fastening materials utilized can be of sufficient water/chemical resistance and strength to assure the device will maintain sufficient bonding throughout the life of the device. The electronics housing 110 can act as the back cover of the device as well as a liquid resistant enclosure for much of the electronics components (FIG. 7). The housing can be manufactured from a wide range of plastic materials, including polymers that are resistant to medical sterilization chemicals, using one or more known plastics manufacturing techniques, such as injection molding. The water/chemical resistant design of the device can allow for relatively easy cleaning and sterilization if it is contaminated (e.g. urine, feces, blood, etc.) The electronics housing 110 can also be configured similarly to the wide array of other commercially available audio book variants. For instance, some audio books have their enclosure located along one of the edges (top, side, bottom) of the book. The speaker sound ports 130 transmit sound from the speaker 185 (FIG. 7) to the outside of the electronics housing 110. The speaker sound ports 130 may also be located on other aspects of the electronics housing 110 to achieve adequate sound amplitude and quality.

FIGS. 4 and 5 show the device in an opened state. The electronics housing cover plate 115 is attached to the open face of the electronics housing 110. The cover plate 115 can also be utilized to locate a mirror 160, microphone sound ports 135, and recording indicator light 140. The mirror 160, shown located on the electronics housing cover plate 115, can also be located within the electronics housing 110 such that it can be slid out through a slot (not shown) when needed. The mirror can also be located such that it replaces or covers the front cover 105, or outer aspect of the electronics housing 110 when the device is in a closed state. The mirror can be permanently positioned in the aforementioned locations, or it can be located via fixed or articulating attachment hardware (not shown). The mirror can be manufactured from a material that is shatter resistant (e.g. polycarbonate or acrylic) and can be scratch resistant. The geometric patterns 165 with non-limiting examples illustrated in FIGS. 4 and 8, can be an infinite variety of high-contrast shapes. These geometric patterns can be printed on any of the pages 120, the front cover 105, the outside aspect of the electronics housing, on a movable surface (not shown) that can be extended out from within the electronics housing 110 as needed. The geometric patterns can also be printed on a surface that is supported via articulating hardware (not shown). The microphone sound ports allow for sound to penetrate the electronics housing cover plate to reach the microphone 180 (FIG. 7). The recording indicator light 140 provides a visual indication that recording has begun or stopped. Device status indicator 145 can provide various status information to the caregiver or other users. The indicator 145 can be located such that it is easily visible when being viewed from the outside of an isolette or other infection control isolation system. For example, the indicator can show when playback is occurring, it can prompt the care-giver to begin playback again, it can warn of a low-battery condition, or it can indicate what mode the device is in. Data and charging port 155 can be configured as one of many commonly available interconnect standards (e.g. USB, mini-USB, micro-USB, Firewire, etc). This port 155 can be utilized to power the device, charge the internal batteries 170 (FIG. 7), or transmit/receive data. Battery charge indicator 150 can indicate the remaining battery power and/or charging status. The several aforementioned indicators can be single or multi-color light emitting diodes (LEDs), electroluminescent, or other light emitting devices. Electronics enclosure slot 190 can accept the book spine 125, book page(s) 120, and/or flexible circuits 160. Recording lockout toggle switch 245 can act to write-protect audio recordings when in the locked position, or allow recording in the unlocked position.

FIGS. 6 and 7 show an example button layout for the device. Inside the front cover 105, buttons can exist for playing back pre-recorded (220, 225) or user-recorded audio (210, 215, 220, 230), and initiating/cancelling automated playback (235, 240). Each page 120 can have one or more buttons that control recording, playback, and or other functions for that page. The left page selection switch 200 can be located on the left face of a page 120 and the right page selection switch 205 can be located on the right. The buttons 200 and 205 can be staggered such that activating the button on the opposite side of a page is less likely. The aforementioned buttons located on pages 120 and cover 105 can be of membrane switch type (e.g. 250 and 255) and be located on one or more flexible circuits (e.g. 260). However, other types of switches and circuits may also be adequate. The flexible circuits 260 can be separate units for each page or location (as shown in FIG. 7), or a longer continuous accordion circuit that serves more than one page 120. The flexible circuit 260 (FIG. 7) illustrates a potential circuit for a page 120 with one button on each side of the page. The left membrane switch contact 250 can be located below a dome feature (e.g. 200) embossed in the page. Similarly, the right membrane switch contact 255 can be located below a dome feature (e.g. 205) embossed in the page. A common metallic foil or stamped/formed thin sheet metal component (not shown) can be used to complete the circuit of the membrane switch. Where the flex circuit is of continuous accordion design, the circuit folded over itself can be used to make continuity. With the flexible circuit 260 located in the page 120 that has been folded over it, a void would exist in the locations of the page where no flexible circuit existed. This void can be filled with sheet material (not shown) of similar thickness to the flexible circuit in order to maintain page thickness uniformity. The processor (not shown) on the PCB 175 can detect what button is being pressed by having separate circuits for each switch, or by ensuring that each switch circuit has an adequately different resistance, such that the resistance value can be used to differentiate between all of the switches. Battery 160 can be used to store power such that the electronics can operate without being continuously connected to an outside power source. The battery can be of any type, including primary non-rechargeable batteries if the device is designed to accept them. Speaker 185 can emit audible sounds stored within the memory (not shown) located on printed circuit board 175. The electronics located on the PCB 175 can be configured to maintain a playback level that is below the amplitude that could damage the hearing of anyone listening in close proximity (typically no higher than 80 decibels) to the speaker 185. Microphone 180 can allow the user to record their voice and for the device to monitor the environment for noise. The printed circuit board (PCB) 175 can be configured to record, store, and playback audio. The PCB can manage the usage of power from the data and charging port 155 and the battery 170. The PCB can control the indicator lights (e.g. 140, 145, 150) and microphone 180, as well as monitoring the status of the switches (e.g. 200, 205, 210, 215, 220, 225, 230, 235, 240, 245). The PCB can process audio signals to adjust payback levels, remove or reduce background noise, and make operational other decisions. Other page selection methods employed with commercially available recordable books are functional with this device. For example, photo-sensors, magnets, non-page-located switches may be utilized in conjunction with or replacement for the membrane switches (e.g. 250) described herein. A signature page (not shown) can provide a place for people to write well wishes. Pockets (not shown) on selected pages or other locations within the device (not shown) can be utilized to store keepsakes (not shown).

One of many methods for using this device includes the following: A parent/guardian has an infant who is isolated in a neonatal intensive care unit (NICU). In this situation the parent may feel like they're abandoning or neglecting their newborn, they can feel scared due to not understanding the complex nature of the medical care their newborn is receiving, and the infant can be at risk for short-term as well as long-term developmental disadvantages due to their isolated environment and lack of stimulus. The healthcare provider or another source can provide the device 100 to the parent/guardian. The device contains a story (printed and audible) that describes various aspects of the medical condition and environment their newborn is in. The parents read (printed on pages 120) or listen to instructions (emitted from speaker 185), by pressing a button (not shown), with said instructions stored on PCB 175. The instructions direct them to read aloud the story within the pages 120 of the device. To begin they switch the recording lockout toggle switch 245 to the unlocked position. Starting on the first page 120 of the story, the parent pushes the button (e.g. 200, 205) on that page to initiate recording via microphone 180. When the device is ready to record it may play a noise and/or illuminate the recording indicator light 140 to inform the user that they can read the story aloud. When the user has completed recording, they can press the same button they used to initiate recording. The user may be able to playback a pre-recorded version of the story prior to recording their own by using a certain sequence or duration of button presses. Likewise, the user may playback, delete, or re-record using various durations or sequences. Following recording the story on each page, the user may choose to have the other parent or a relative record their voice reading the story. The user may be given the option of recording other custom messages as well. Once all of the audio recordings have been made, the user can move the recording lockout toggle switch to the locked position to preserve the recordings.

The user can then provide the device back to the healthcare provider or to the staff in their infant's care center. The staff in the care center can sterilize the device with chemicals and procedures standardized for their facility to minimize the chance that infectious contaminants will reach the isolated infant. The medical staff can leave the device in the isolette with the infant and activate the audio playback manually or semi-automatically, or automatically via the buttons on the front cover (e.g. 210, 215, 220, 225, 230, 235, 240, 245). Semi-automatic playback can include randomly playing through each of the audio files stored randomly for a particular period of time or until a button is pressed. Automatic playback can include monitoring the environment with the microphone 180 for crying or other noises and then playing audio back in response. The infant can be soothed and comforted by listening to the sound of their parent's voice and the pre-recorded sounds. The medical staff can make the geometric patterns 165 and/or the mirror 160 visible to the infant. The geometric patterns can provide the infant with improved development by viewing them, thereby improving their medical outcome. The mirror 160 can allow the infant the ability to see him or herself, which can improve their medical outcome as well. Following the infant's release from the medical facility, the parents/guardians can take the device home as a keepsake. A signature page can be signed by relatives and friends of the family. If the device is contaminated during use (e.g. urine, feces, blood, etc.), then it can be easily cleaned per standard medical facility protocols.

Another scenario includes children with medical conditions who can read and/or understand the written word, and/or who may also be separated from one or both parents/guardians. In this situation the device can be used to help the older child understand the various aspects of their situation similarly to how the parents/guardians were able to understand their infant's situation in the situation presented above. Additionally, the child can read and record the story themselves in an effort to better understand their situation.

It is therefore intended that the forgoing detailed description be regarded as illustrative rather than limiting, and that it be understood that it is the following claims, including all equivalents that are intended to define the spirit and scope of this disclosed device. Any elements described herein as singular can be pluralized (i.e., anything described as “one” can be more than one). Any species element of a genus element can have the characteristics or elements of any other species element of that genus. The above-described configurations, elements or complete assemblies and methods and their elements for carrying out the invention, and variations of aspects of the invention can be combined and modified with each other in any combination. 

We claim:
 1. A method for providing emotional support, medical information, and improved outcomes comprising: a device capable of recording audio; using the device to create an audio recording comprising at least one of: a voice, a musical note, a heartbeat, and an environmental sound; locating the device to be in close proximity to an infant or child located in a medical facility; and wherein the audio recording is played back to the infant or child by at least one of: the medical staff, a caregiver, response to an environmental noise, and a timer.
 2. The method of claim 1, wherein the voice comprises a story displayed by the device and read aloud by the parent.
 3. The method of claim 1, wherein the device is sterilized without incurring damage prior to being placed in close proximity to the infant or child.
 4. The method of claim 1, wherein an audio file can be transferred to or from the device to be played back by at least one of: the device, and a second device.
 5. The method of claim 1, wherein the device exposes the infant or child to at least one of: a series of high-contrast geometric shapes, a mirror, and a heartbeat sound.
 6. The method of claim 1, wherein the audio is at least one of: recorded by pressing a button in a page, and played back by pressing a button in a page.
 7. The method of claim 1, wherein a recording status is indicated by at least one of: a visible status indicator and an audible status indicator. 